| NPI | 1497121917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNGJUN BAE Physical Therapist 347-569-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: NY 032544) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2016-03-13 |